| NPI | 1689773772 |
|---|---|
| Doing Business As | I-635 PRIMARY CARE SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | BRADLEY ALAN APPL Owner 913-831-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 21690) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R&E24) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |